Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.10 / $397.90 / $2,747.00	Facility		$159.10	$397.90	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $231.12 / $339.91	Professional		$145.99	$231.12	$339.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $248.75 / $286.06	Professional		$118.84	$248.75	$286.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $174.64 / $281.86	Professional		$133.44	$174.64	$281.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $208.28 / $235.53	Facility		$154.28	$208.28	$235.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $273.63 / $398.00	Professional		$183.59	$273.63	$398.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.73 / $283.88 / $283.88	Facility		$234.73	$283.88	$283.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $258.93 / $467.74	Professional		$166.97	$258.93	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $323.38	Professional		$32.34	$32.34	$323.38
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $272.48 / $446.86	Professional		$209.60	$272.48	$446.86